05D1059286 CLIA NUMBER - NORCO DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 05D1059286

Facility Name: NORCO DIALYSIS CENTER

Facility Address:
1901 TOWN & COUNTRY DR STE 100
NORCO, CA
ZIP 92860
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Facility Phone Number: 951 738-0185

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1033159264

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1059286
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	NORCO DIALYSIS CENTER
Street	1901 TOWN & COUNTRY DR STE 100
City	NORCO
State	CA
ZIP	92860
Phone	951 738-0185
CertificateType	4
CertificateEffectiveDate	9/26/2022
CertificateExpirationDate	9/25/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024